Individual
AMANDA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 LICK LOG ROAD, GRUNDY, VA 24614
(276) 530-9398
Mailing address
1298 LICK LOG ROAD, GRUNDY, VA 24614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174766
VA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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